Organization Active NPI

Evia Diagnostics Marin LLC

  • Clinical Medical Laboratory
  • San Rafael, CA
National Provider Identifier
1821824442
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EVIA DIAGNOSTICS MARIN LLC
Practice address
4340 Redwood Hwy Ste A33
San Rafael, CA 94903-2121
Phone
(415) 475-4620
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Maya PatelNPI 1033178215
Title
President
Phone
(415) 475-4620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4340 Redwood Hwy Ste A33
San Rafael, CA 94903-2121

Mailing address

446 Old County Rd Ste 100-340
Pacifica, CA 94044-3270
Phone (415) 475-4620

Other names 1

  • ARCPOINT LABS OF SAN RAFAEL Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2273473Evia Diagnostics Marin LLC4340 Redwood Hwy Suite a-33, San Rafael, CA 94903Certificate of waiverDec 13, 2026

National Provider Directory

National Provider Directory

Locations

4340 Redwood Hwy
Ste A33
San Rafael, CA 94903
Phone (415) 475-4620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1821824442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 OLD COUNTY RD STE 100-340",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443270",
            "telephone_number": "415-475-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 REDWOOD HWY STE A33",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032121",
            "telephone_number": "415-475-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVIA DIAGNOSTICS MARIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-475-4620"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARCPOINT LABS OF SAN RAFAEL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.